Organization Active NPI

Mycareonthego LLC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Brooklyn, NY
National Provider Identifier
1164152948
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
Legal business name
MYCAREONTHEGO LLC
Practice address
1963 Rockaway Pkwy
Brooklyn, NY 11236-5505
Phone
(347) 702-0069
Fax
(917) 423-0410
NPI assigned
Jun 14, 2022
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer Fields
Title
Office Manager
Phone
(347) 702-0069

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X NU Primary

Addresses

Primary practice location

1963 Rockaway Pkwy
Brooklyn, NY 11236-5505

Mailing address

1963 Rockaway Pkwy
Brooklyn, NY 11236-5505
Phone (347) 702-0069

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1164152948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1963 ROCKAWAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112365505",
            "telephone_number": "347-702-0069",
            "fax_number": "917-423-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1963 ROCKAWAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112365505",
            "telephone_number": "347-702-0069",
            "fax_number": "917-423-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYCAREONTHEGO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "347-702-0069"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.